A newly licensed nurse is caring for a client who requires tracheal suctioning, which is a procedure the nurse has not performed in practice. Which of the following actions should the nurse take?
Ask an experienced nurse to assist with the procedure.
Refuse to take the assignment.
Identify that the task is in the scope of RN practice and perform the suctioning.
Delegate the task to assistive personnel.
The Correct Answer is A
Choice A reason: Asking an experienced nurse to assist ensures the procedure is performed safely while allowing the newly licensed nurse to gain competence. Tracheal suctioning requires sterile technique and skill to avoid complications like hypoxia or trauma. This approach supports patient safety and professional development, aligning with nursing standards.
Choice B reason: Refusing the assignment is inappropriate, as tracheal suctioning is within an RN’s scope of practice. Refusal avoids responsibility without addressing the client’s needs or the nurse’s professional growth. Seeking assistance ensures safe care while building skills, making this choice less effective and unprofessional.
Choice C reason: Performing tracheal suctioning without prior experience risks patient harm, as it requires precise technique to prevent complications like mucosal damage or infection. Without guidance, errors are more likely. Seeking supervision ensures safety and competence, making this choice unsafe and inappropriate for a novice nurse.
Choice D reason: Delegating tracheal suctioning to assistive personnel is inappropriate, as it is a sterile procedure requiring RN-level skills and judgment. Assistive personnel are not trained for invasive procedures like suctioning, which risks complications. This choice violates delegation principles and compromises patient safety, making it incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A client with a sealed radiation implant requires strict precautions and monitoring to prevent radiation exposure to others. Early discharge is unsafe due to ongoing treatment needs, so this client is not suitable, making this incorrect.
Choice B reason: A COPD client with a respiratory rate of 24 breaths/min indicates potential instability, requiring monitoring for exacerbation. Early discharge risks decompensation without ensured stability, so this client is not appropriate, making this incorrect.
Choice C reason: A client receiving heparin for DVT needs continuous anticoagulation and monitoring to prevent embolism. Discharging early risks clotting complications, so this client requires ongoing hospital care, making this incorrect for early discharge.
Choice D reason: A client 1 day post-cholecystectomy, if stable, is often ready for discharge, as this surgery is routine with quick recovery. Freeing this bed supports disaster response, aligning with triage principles, making this the correct choice.
Correct Answer is D
Explanation
Choice A reason: Fructose corn syrup exacerbates irritable bowel syndrome (IBS) symptoms, as fermentable carbohydrates cause gas and bloating. IBS involves altered gut motility and microbiota, and high-fructose foods trigger visceral hypersensitivity, worsening abdominal pain and discomfort, making this an inappropriate dietary recommendation.
Choice B reason: Gluten-rich foods may worsen IBS in clients with non-celiac gluten sensitivity, causing bloating and diarrhea. Gluten disrupts gut motility in susceptible individuals, exacerbating IBS symptoms. Avoiding gluten is often advised, making increased intake counterproductive to managing IBS effectively.
Choice C reason: Milk products, containing lactose, worsen IBS in lactose-intolerant clients, causing bloating and diarrhea. Fermentable carbohydrates exacerbate gut dysmotility and visceral hypersensitivity, common in IBS, making increased dairy intake inappropriate for symptom management and dietary control in affected clients.
Choice D reason: Bran fiber, a soluble fiber, regulates bowel movements in IBS by adding bulk and stabilizing colonic transit. It reduces diarrhea and constipation, supporting microbiota health and alleviating symptoms. This evidence-based recommendation aligns with dietary management to improve gut function in IBS clients.
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